Changes in coffee and caffeine intake during the pandemic in women smokers and non-smokers: a future challenge for cardiovascular prevention

Changes in coffee and caffeine intake during the pandemic in women smokers and non-smokers: a future challenge for cardiovascular prevention

Authors

  • Francesca Coppi University of Modena and Reggio Emilia
  • Mario Migaldi University of Modena and Reggio Emilia
  • Claudio Stefanelli University of Bologna
  • Alberto Farinetti University of Modena and Reggio Emilia
  • Anna Vittoria Mattioli Deprtment of life scienceUniversity of Modena and Reggio Emilia

Keywords:

cardiovascular prevention, coffee, smoking, pandemic

Abstract

Background: The recent pandemic has led to major lifestyle changes, especially in women, changes that will impact cardiovascular risk. The aim of the present observational study was to evaluate changes occurred during pandemic in coffee and caffeine intake in a group of adult women and compare changes in smoking versus non-smoking women. Methods: A web questionnaire was sent through a online survey platform to a group of unselected adult women. The consumption of coffee and caffeine were investigated in 2 groups of women by comparing smokers and non-smokers. Results: A total of 435 adult women (256 non-smokers and 179 smokers) answer to all questions. Smokers increase the number of cigarette/days (mean + 3.4 cig/day). Coffee intake was significantly increase in smokers compared to non-smokers (3.1+1.0 versus 1.5+0.6 cups/day p<0.01). In smokers, self-perception of increase stress was related to increased coffee intake (r = 0.84; p <0.001), increased sugar- rich foods (r=0.81; p<0.001), increased chocolate rich snacks (r=0.72; p<0.01), increased sitting time (r=0.79; p<0.01). Conclusions: These preliminary data must suggest to undertake social campaigns aimed at encouraging a return to a healthy lifestyle that certainly includes a healthy diet but also the suspension of smoking. These observational results need further evaluation with prospective studies in order to quantify the effects of pandemic-induced changes in lifestyle on cardiovascular risk in women.

Author Biography

Anna Vittoria Mattioli, Deprtment of life scienceUniversity of Modena and Reggio Emilia

Department of Life Science

References

Vinciguerra M, Romiti S, Sangiorgi GM, Rose D, Miraldi F, Greco E. SARS-CoV-2 and Atherosclerosis: Should COVID-19 Be Recognized as a New Predisposing Cardiovascular Risk Factor? J. Cardiovasc. Dev. Dis. 2021, 8, 130. https://doi.org/10.3390/jcdd8100130

Al-Domi H, Al-Dalaeen A, Al-Rosan S, Batarseh N, Nawaiseh H. Healthy nutritional behavior during COVID-19 lockdown: A cross-sectional study. Clin Nutr ESPEN. 2021 Apr;42:132-137. doi: 10.1016/j.clnesp.2021.02.003. Epub 2021 Feb 23. PMID: 33745566; PMCID: PMC7901367.

Mattioli AV, Toni S, Coppi F, Farinetti A. Practical tips for prevention of cardiovascular disease in women after quarantine for COVID-19 disease. Acta Biomed. 2020 Jul 22;91(4):e2020127. doi: 10.23750/abm.v91i4.10284.

Vogel B, Acevedo M, Appelman Y, et al. The Lancet women and cardiovascular disease Commission: reducing the global burden by 2030. Lancet. 2021 Jun 19;397(10292):2385-2438. doi: 10.1016/S0140-6736(21)00684-X

Garcia M, Mulvagh SL, Merz CN, Buring JE, Manson JE. Cardiovascular Disease in Women: Clinical Perspectives. Circ Res. 2016 Apr 15;118(8):1273-93. doi: 10.1161/CIRCRESAHA.116.307547. doi: 10.1161/CIRCRESAHA.116.307547

Van den Eynde J, De Vos K, Van Daalen KR and Oosterlinck W. Women and COVID-19: A One-Man Show? Front. Cardiovasc. Med. 2020, 7:596583. https://doi.org/10.3389/fcvm.2020.596583

Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. 2007;23(11- 12):887-894. https://doi. org/10.1016/j.nut.2007.08.008

Bucciarelli V, Nasi M, Bianco F, et al. Depression pandemic and cardiovascular risk in the COVID-19 era and long COVID syndrome: Gender makes a difference. Trends Cardiovasc Med. 2022 Jan;32(1):12-17. doi: 10.1016/j.tcm.2021.09.009

Bracale R, Vaccaro CM. Changes in food choice following restrictive measures due to Covid-19. Nutr Metab Cardiovasc Dis. 2020 Aug 28;30(9):1423-1426. doi: 10.1016/j.numecd.2020.05.027. Epub 2020 May 30.

Begdache L, Sadeghzadeh S, Derose G, Abrams C. Diet, Exercise, Lifestyle, and Mental Distress among Young and Mature Men and Women: A Repeated Cross-Sectional Study. Nutrients. 2020 Dec 23;13(1):24. doi: 10.3390/nu13010024

Coppi F, Nasi M, Farinetti A, et al Physical activity, sedentary behaviour, and diet in menopausal women: Comparison between COVID19 “first wave” and “second wave” of pandemic in Italy. Progress in Nutrition, 2021, 23(2), 11755 10.23751/pn.v23i2.11755

Caliskan SG, Kilic MA, Bilgin MD. Acute effects of energy drink on hemodynamic and electrophysiologic parameters in habitual and non-habitual caffeine consumers. Clin Nutr ESPEN. 2021 Apr;42:333-338. doi: 10.1016/j.clnesp.2021.01.011. Epub 2021 Feb 4. PMID: 33745602.

Bodar V, Chen J, Sesso HD, Gaziano JM, Djoussé L. Coffee consumption and risk of heart failure in the Physicians' Health Study. Clin Nutr ESPEN. 2020 Dec;40:133-137. doi: 10.1016/j.clnesp.2020.09.216. Epub 2020 Oct 26. PMID: 33183526.

Grigoriev P, Klüsener S, van Raalte A. Quantifying the contribution of smoking to regional mortality disparities in Germany: a cross-sectional study. BMJ Open 2022;12:e064249. doi:10.1136/bmjopen-2022-064249

World Health Organization. WHO report on the Global Tobacco Epidemic, 2008: the MPOWER package. Geneva: World Health Organization; 2008

Mattioli AV. Effects of caffeine and coffee consumption on cardiovascular disease and risk factors. Future Cardiol. 2007;3(2):203-12. doi: 10.2217/14796678.3.2.203

Mattioli AV, Farinetti A, Miloro C, Pedrazzi P, Mattioli G. Influence of coffee and caffeine consumption on atrial fibrillation in hypertensive patients. Nutr Metab Cardiovasc Dis, 2011, 21(6), pp. 412–417

Manti S, Licari A. How to obtain informed consent for research. Breathe (Sheffield, England). 14(2), 145-15 (2018). doi:10.1183/20734735.001918

Backholer K, Peters SAE, Bots SH, Peeters A, Huxley RR, Woodward M. Sex differences in the relationship between socioeconomic status and cardiovascular disease: a systematic review and meta-analysis. J Epidemiol Community Health 2017; 71: 550–57.

Jenkins KR, Ofstedal MB. The association between socioeconomic status and cardiovascular risk factors among middle-aged and older men and women. Women Health 2014; 54: 15–34.

Loucks EB, Rehkopf DH, Thurston RC, Kawachi I. Socioeconomic disparities in metabolic syndrome differ by gender: evidence from NHANES III. Ann Epidemiol 2007; 17: 19–26

Mattioli AV, Coppi F, Nasi M, Gallina S. Stress and cardiovascular risk burden after the pandemic: current status and future prospects. Expert Rev Cardiovasc Ther. 2022 Jul;20(7):507-513. doi: 10.1080/14779072.2022.2092097.

Roth GA, Nguyen G, Forouzanfar MH, Mokdad AH, Naghavi M, Murray CJ. Estimates of global and regional premature cardiovascular mortality in 2025. Circulation 2015; 132: 1270–82.

Huisman M, Kunst AE, Mackenbach JP. Educational inequalities in smoking among men and women aged 16 years and older in 11 European countries. Tob Control. 2005;14(2):106e113. https://doi.org/10.1136/tc.2004.008573

Agaku IT, Vardavas CI, Ayo-Yusuf OA, Alpert HR, Connolly GN, Gender and racial differences in smoking of long/ultra-long and king size cigarettes among U.S. adult smokers, NHANES 1999–2012, Drug and Alcohol Dependence 2014, 136; 28-35. doi.org/10.1016/j.drugalcdep.2013.12.004.

Asare S, Majmundar A, Islami F, et al. Changes in Cigarette Sales in the United States During the COVID-19 Pandemic. Ann Intern Med. Published online October 2021. doi:10.7326/M21-3350

WHO. European health information gateway—tobacco smoking. 2020. https://gateway.euro.who.int/en/indicators/h2020_2-tobacco-smoking/ (accessed October 1st, 2022).

WHO. Empower women: facing the challenge of tobacco use in europe. 2015. https://www.euro.who.int/__data/assets/pdf_ file/0019/271162/EmpowerWomenFacingChallengeTobaccoUse1.pdf (accessed October 1st , 2022).

Eurostat. Tobacco consumption statistics 2014. June 3, 2020. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Main_Page (accessed October 1st, 2022).

U.S. Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General.; 2014. https://www.cdc.gov/tobacco/sgr/50th-anniversary/index.htm (accessed October 1st, 2022)

Agaku IT, Alpert HR. Trends in annual sales and current use of cigarettes, cigars, roll-your-own tobacco, pipes, and smokeless tobacco among US adults, 2002-2012. Tob Control. 2016;25(4):451-457. doi:10.1136/tobaccocontrol-2014-052125

US Department of Health and Human Services. Healthy People 2020. Tobacco Use. https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use (accessed October 1st, 2022)

Berrington de Gonzalez A, Hartge P, Cerhan JR, et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med. 2010;363(23):2211e2219. https://doi.org/10.1056/NEJMoa1000367.

Paolisso P, Bergamaschi L, Saturi G, et al. Secondary Prevention Medical Therapy and Outcomes in Patients With Myocardial Infarction With Non-Obstructive Coronary Artery Disease. Front Pharmacol. 2020 Jan 31;10:1606. doi: 10.3389/fphar.2019.01606.

Mattioli AV, Migaldi M, Farinetti A. Coffee in hypertensive women with asymptomatic peripheral arterial disease: a potential nutraceutical effect. J Cardiovasc Med (Hagerstown). 2018 Apr;19(4):183-185. doi: 10.2459/JCM.0000000000000626.

Truzzi ML, Ballerini Puviani M, Tripodi A et al. Mediterranean Diet as a model of sustainable, resilient and healthy diet. Progress in Nutrition. 2020; 22, 2, 388-394. https://doi.org/10.23751/pn.v22i2.8632

Mattioli AV, Coppi F, Migaldi M, Scicchitano P, Ciccone MM, Farinetti A. Relationship between Mediterranean diet and asymptomatic peripheral arterial disease in a population of pre-menopausal women. Nutr Metab Cardiovasc Dis 2017;27(11):985-990. doi:10.1016/j.numecd.2017.09.011

Papke RL, Karaffa M, Horenstein NA, Stokes C, Coffee and cigarettes: Modulation of high and low sensitivity α4β2 nicotinic acetylcholine receptors by n-MP, a biomarker of coffee consumption. Neuropharmacology, 2022; 216, 109173, https://doi.org/10.1016/j.neuropharm.2022.109173

Ntyonga-Pono MT. COVID-19 infection and oxidative stress: an under-explored approach for prevention and treatment Pan Afr Med J. 2020; 35 (2):12. Published 29 Apr 2020

Mattioli AV, Selleri V, Zanini G et al. Physical Activity and Diet in Older Women: A Narrative Review. J. Clin. Med. 2023, 12, 81. https://doi.org/10.3390/jcm12010081

Jumar A, Schmieder RE. Cocoa Flavanol Cardiovascular Effects Beyond Blood Pressure Reduction. J Clin Hypertens (Greenwich). 2016;18:352–358 https://doi.org/10.1111/jch.12715.

De Gaetano A, Solodka K, Zanini G, et al. Molecular Mechanisms of mtDNA-Mediated Inflammation. Cells. 2021 Oct 26;10(11):2898. doi: 10.3390/cells10112898.

Funck-Brentano C, Raphaël M, Lafontaine M, et al. Effects of type of smoking (pipe, cigars or cigarettes) on biological indices of tobacco exposure and toxicity. Lung Cancer. 2006 Oct;54(1):11-8. doi: 10.1016/j.lungcan.2006.06.016. Epub 2006 Aug 1. PMID: 16884817.

Casiglia E, Tikhonoff V, Albertini F, et al. Caffeine intake and abstract reasoning among 1374 unselected men and women from general population. Role of the -163C>A polymorphism of CYP1A2 gene. Clin Nutr ESPEN. 2017 Aug;20:52-59. doi: 10.1016/j.clnesp.2017.04.001.

Mattioli AV, Moscucci F, Sciomer S, et al. Cardiovascular prevention in women: un update By the Italian Society of Cardiology Working Group On “Prevention, Hypertension and peripheral disease” J Cardiovasc Med (Hagerstown). 2023 in press

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24-04-2023

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ORIGINAL CLINICAL RESEARCH

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1.
Changes in coffee and caffeine intake during the pandemic in women smokers and non-smokers: a future challenge for cardiovascular prevention. Acta Biomed [Internet]. 2023 Apr. 24 [cited 2024 Jun. 14];94(2):e2023114. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/14118